IPE Flashcards
What is the treatment of nephrogenic diabetes insipidus?
Thiazide duiretics
Caused by the bodies inability to respond to ADH therefore synthetic ADH doesnt work
What is the most common cause of peritonitis in a patient recieving peritoneal dialysis?
Staph epidermidis (coagulase negative staph)
What can be done to reduce the risk of reoccurance of calcuim stones?
High fluid intake
low animal protein high salt diet
thiazide duiretics - increased distal tubular calcuim reabsorption
How much potassium should be given over a day as maintainance?
1mmol/kg/day
What is the best management to confirm the presence of a stone with acute flank pain?
Non contrast Ct
What can be done to confirm a SAH if history and Ct dont do it? What are the contraindications?
LP - confirm Xanthochromia
As long as no signs of increased ICP
When is GFR inaccurate?
Large muscle mass secondary to exercise
Eating red meat 12 hours pre sample
Pregnancy
When should high K be treated aggressively?
> 6.5 or ECG changes or symptomatic
What is important in those with low kidney function that need contrast?
IV hydration before and after procedure
What is the first line management for those with ascites and why?
What can be added if this is ineffective?
Aldosterone antagonist - those with CLD develop secondary hyperaldosteronism
Add loop duiretic
What is the most commmon causes of diffuse proliferative glomerulonephritis?
Post -strep
SLE
What is the most common infection post solid organ transplant?
Cytomegalovirus
How can you tell the difference between Pre renl and acute tubular necrosis?
urine soduim
ATN >30 mmol/L
Pre- renal uraemia <20mmol/L
How is anion gap calculated?
K + Na - Cl - HCO3
What are the eGFR variables?
CAGE Creatinine Age Gender Ethrnicity
